QUICK, COST EFFECTIVE PROCESS FOR ALL YOUR AUTHORIZATION NEEDS
This allows less turnaround time to make appointments. Without authorizations, providers may receive a reduction in reimbursements or no reimbursements at all. We can work with your existing workflow and EHR to minimize disruptions. We are a custom prior authorization outsourcing provider. We customize our solutions so they work for your practice with no long-term contracts or hidden fees like the RCM and AI prior authorization solutions.
Our tested processes and trained prior authorization specialists have help to save over 50% in prior authorization administration costs. Client see a increase in preauthorization's by 30% month over month.
How to Get Started
Whether you’re ready to hand over your prior authorizations to us or would just like some additional information about the services we provide, please complete the brief form and we’ll get in touch with you ASAP.
Customer Success Story
Listen to Tracey, Director of Patient Care share how DataMatrix Medical and OrthoNY work together to increase productivity and have been able to take on over +30% more authorizations a day.
We Manage Prior Authorizations For All Specialties
DataMatrix Medical has the technology and training to manage all prior authorization cases for medical practices of all shapes and sizes, from small practices with a single doctor to large facilities with multiple specialties. Below are just a number of the medical specialties that we support:
Hundreds of medical practices and hospitals across the United States use our prior authorization and medical billing services. We can supplement your current solutions, systems, and staff, cover sick or vacation time, or handle it all A to Z for growing practices that need to keep staff to a minimum. See what makes us different than other prior authorization companies.
Our Partner Associations & Awards
EHR Compatibility
Our prior authorization solutions are compatible with all EHR systems. Compared to other solutions, our hybrid solutions are free of system hurdles or integration issues. Here are only a few of those systems we are compatible with (If you don’t see yours, don’t worry. We are sure we can support you):
athenahealth
Allscripts
eClinical Works
ModMed
GECentricity
NextGen
Custom Performance Reporting
Managing prior authorizations is challenging. But understanding their performance shouldn’t be. That’s why our reporting is designed with medical administrators in mind—giving you the insights you need without unnecessary complexity that include:
OUR TEAM IS AN EXTENSION OF YOURS!
The truth is, obtaining prior authorization for services is critical for reimbursement but places a hefty burden on your staff. Choosing DataMatrix to perform prior authorization and insurance verification best practices is key to ensuring your practice can continue providing the best in patient care and get full reimbursement for it. We handle all authorizations, including radiology, surgery, DME, Injections, medical durable equipment, MRI, worker’s comp, and more.
- No more waiting on hold
- No follow-up approvals
- No more denial rebuttals
Our team will work for you can work for your patients!
FAQ
Why Outsource Prior Authorizations Services to DataMatrix Medical?
- Properly diagnose patients in a timely manner
- Reduce turnaround time to make appointments
- Assure a high payment rate from payers with timely, accurate reimbursements
How to Speed up Prior Authorization for Medication?
- Outsource to a specialized third party. One key concern that medical providers have when outsourcing to third-party service providers is that they lose control over the process. However, there are critical benefits to consider when hiring a team of prior authorization experts. For more continue reading: “How to Speed up Prior Authorization for Medication“
What Is DataMatrix's Denial Rate Compared to National Average?
AMA has reported that Denial rates are hovering around 27% across the country for prior authorizations. DataMatrix Medical averages less than 1% denial rates. Lower denial rates boost practice efficiencies and promotes a more profitable authorization process.
Can DataMatrix Get Authorizations for Biologics?
Yes. DataMatrix can obtain biologic prior authorizations for leading biologics, but not limited to:
- Humira (adalimumab)
- Enbrel (etanercept)
- Stelara (ustekinumab)
- Cosentyx (secukinumab)
- Dupixent (dupilumab)
- Tremfya (guselkumab)
- Skyrizi (risankizumab)
Can DataMatrix Get Authorizations for Zepbound?
Yes. DataMatrix can obtain prior authorizations for Zepbound. Learn more about the challenges of Zepbound prior authorizations.
Can DataMatrix Get Workers' Comp Prior Authorizations?
Yes. DataMatrix can obtain challenging prior authorizations for workers’ comp cases across the United States.
Do we need to give you a seat on our EHR?
Yes. We do not use third-party systems. Everything is accessible in your EHR
Do you all use CoverMyMeds and all those other platforms to assist in obtaining a PA?
Yes.
Do you contact the patient if there are issues or do you let them know it has been done?
Yes. We can provide that service if you desire, but that is a separate person, a virtual medical assistant, who is at a different rate. Most of the time, we inform your staff that the PA has been done through the EHR, and then the staff will let the patient know.
DataMatrix 100% HIPAA Compliant, Ancillary Medical Services
We guarantee our team is trained in and follows the most current HIPAA compliant practices and procedures.
About DataMatrix Medical
We’ve made it our mission to provide a comprehensive, yet innovative suite of medical administrative solutions that serve as an integral component in the growth of our clients’ medical practices. We drive to always exceed our clients’ expectations and are dedicated to providing best-in-class customer service and support. We pride ourselves on being one of the top companies in the world for medical admin solutions and plan to continue upholding that reputation for years to come.
